Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Other names
Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
1553 CHESTER PIKE STE 101, CRUM LYNNE, PA 19022-1022
(610) 447-2000
Mailing address
1553 CHESTER PIKE STE 101, CRUM LYNNE, PA 19022-1022
(610) 447-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
10/11/2023
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